Active NPI
Susan Rae Boyd, COTA
- Occupational Therapy Assistant
- South Charleston, WV
National Provider Identifier
1154741718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- C1388
- Practice address
- 1000 Lincoln Dr
South Charleston, WV 25309-2304 - Phone
- (304) 768-4400
- NPI assigned
- Apr 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | C1388 | WV | Primary |
Addresses
Primary practice location
1000 Lincoln Dr
South Charleston, WV 25309-2304
Mailing address
200 Northpointe Cir Ste 102
Seven Fields, PA 16046-7861
Phone (724) 831-5056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1388 | WV | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1154741718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NORTHPOINTE CIR STE 102",
"city": "SEVEN FIELDS",
"state": "PA",
"postal_code": "160467861",
"telephone_number": "724-831-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LINCOLN DR",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253092304",
"telephone_number": "304-768-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "SUSAN",
"middle_name": "RAE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-22",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WV",
"license": "C1388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.